39 lines
1.4 KiB
PHP
Executable File
39 lines
1.4 KiB
PHP
Executable File
<?php
|
|
$this->titre = "INTER SANTE - Créer un nouveau tarif actes";
|
|
?>
|
|
|
|
|
|
|
|
<legend> <?= _("Nouveau Tarif Actes") ?> </legend>
|
|
|
|
<table class="table table-responsive table-condensed" style="font-size:10pt;">
|
|
<tbody>
|
|
<tr>
|
|
<td width="10%" class="required"> <?= _("Nom Français") ?> </td>
|
|
<td width="40%"><INPUT style="font-size:10pt;" class="form-control majuscule" TYPE="text" id="libelle" NAME="libelle" required AUTOCOMPLETE="OFF" ></td>
|
|
|
|
<td align="center" width="10%"> <?= _("Nom Anglais") ?> </td>
|
|
<td ><INPUT style="font-size:10pt;" class="form-control majuscule" TYPE="text" id="libelleEng" NAME="libelleEng"></td>
|
|
</tr>
|
|
|
|
<tr>
|
|
<td width="10%" class="required" > <?= _("Type Tarif") ?> </td>
|
|
|
|
<td colspan="3">
|
|
<select name="codeTypeTarifActe" id="codeTypeTarifActe" class="form-control selectpicker" data-live-search="true" required AUTOCOMPLETE="OFF" >
|
|
<?= liste_options($typeTarif,'',false) ?>
|
|
</select>
|
|
</td>
|
|
</tr>
|
|
|
|
<tr>
|
|
<td> </td>
|
|
<td> <input id="btn_enreg" name="btn_enreg" class = "form-control btn btn-primary" type="button" value="<?= _("Enregistrer") ?>" onClick="javascript:creer_tarif_actes();" style='font-size:10pt;' > </td>
|
|
|
|
<td> </td>
|
|
<td> <input class = "form-control btn btn-warning" type="button" value="<?= _("Annuler") ?>" onClick="javascript:retour_tarifs_actes();" style='font-size:10pt;' > </td>
|
|
</tr>
|
|
|
|
</tbody>
|
|
</table>
|